Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension
Current guidelines do not recommend pregnancy in patients with pulmonary arterial hypertension (PAH). This is due to the associated high mortality, which both dissuades PAH patients from becoming pregnant and encourages termination of pregnancy due to high maternal mortality risk. As a result, there...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2018/7031731 |
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| author | Humna Abid Memon Zeenat Safdar Ahmad Goodarzi |
| author_facet | Humna Abid Memon Zeenat Safdar Ahmad Goodarzi |
| author_sort | Humna Abid Memon |
| collection | DOAJ |
| description | Current guidelines do not recommend pregnancy in patients with pulmonary arterial hypertension (PAH). This is due to the associated high mortality, which both dissuades PAH patients from becoming pregnant and encourages termination of pregnancy due to high maternal mortality risk. As a result, there is a lack of data and, consequently, there are only general guidelines available for management of pregnancy in PAH patients. Additionally, novel therapeutic strategies such as extracorporeal membrane oxygenation (ECMO), although used in the management of nonpregnant PAH patients as a bridge to lung transplantation, have not been used to treat cardiopulmonary collapse in pregnant PAH patients. In an attempt to bridge this paucity of data, we report the successful use of ECMO in resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section. |
| format | Article |
| id | doaj-art-a3dfb3d4397044dbb8a3fc2b45749b6f |
| institution | OA Journals |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-a3dfb3d4397044dbb8a3fc2b45749b6f2025-08-20T02:20:21ZengWileyCase Reports in Pulmonology2090-68462090-68542018-01-01201810.1155/2018/70317317031731Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial HypertensionHumna Abid Memon0Zeenat Safdar1Ahmad Goodarzi2Department of Internal Medicine, Houston Methodist Hospital, Houston, TX, USAHouston Methodist Pulmonary Hypertension Center, Weill Cornell College of Medicine, Houston, TX, USAHouston Methodist Lung Transplant Center, Houston Methodist Hospital, Houston, TX, USACurrent guidelines do not recommend pregnancy in patients with pulmonary arterial hypertension (PAH). This is due to the associated high mortality, which both dissuades PAH patients from becoming pregnant and encourages termination of pregnancy due to high maternal mortality risk. As a result, there is a lack of data and, consequently, there are only general guidelines available for management of pregnancy in PAH patients. Additionally, novel therapeutic strategies such as extracorporeal membrane oxygenation (ECMO), although used in the management of nonpregnant PAH patients as a bridge to lung transplantation, have not been used to treat cardiopulmonary collapse in pregnant PAH patients. In an attempt to bridge this paucity of data, we report the successful use of ECMO in resuscitation and management of a pregnant PAH patient who experienced cardiopulmonary collapse following a caesarian section.http://dx.doi.org/10.1155/2018/7031731 |
| spellingShingle | Humna Abid Memon Zeenat Safdar Ahmad Goodarzi Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension Case Reports in Pulmonology |
| title | Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension |
| title_full | Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension |
| title_fullStr | Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension |
| title_full_unstemmed | Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension |
| title_short | Use of Extracorporeal Membrane Oxygenation in Postpartum Management of a Patient with Pulmonary Arterial Hypertension |
| title_sort | use of extracorporeal membrane oxygenation in postpartum management of a patient with pulmonary arterial hypertension |
| url | http://dx.doi.org/10.1155/2018/7031731 |
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